NPI: 1275586877 · TAMUNING, GU 96913 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 114 | $6K |
| 2020 | 821 | $32K |
| 2021 | 2,211 | $118K |
| 2022 | 4,894 | $262K |
| 2023 | 5,488 | $233K |
| 2024 | 2,755 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,223 | 4,800 | $328K | |
| 99214 | 2,091 | 1,922 | $169K | |
| 90461 | 1,671 | 1,590 | $68K | |
| 90460 | 2,512 | 2,374 | $52K | |
| 99203 | 155 | 155 | $16K | |
| D1120 | 264 | 256 | $15K | |
| 92004 | 108 | 108 | $13K | |
| 99212 | 251 | 241 | $12K | |
| 99211 | 488 | 478 | $12K | |
| 99202 | 138 | 137 | $11K | |
| D0120 | 236 | 223 | $10K | |
| D0150 | 105 | 103 | $8K | |
| 90471 | 325 | 317 | $6K | |
| 99383 | 44 | 44 | $6K | |
| 86580 | 353 | 352 | $4K | |
| D0210 | 51 | 49 | $4K | |
| 99204 | 20 | 20 | $4K | |
| 92014 | 43 | 43 | $3K | |
| 96110 | 183 | 157 | $2K | |
| D0140 | 24 | 24 | $2K | |
| 99201 | 28 | 28 | $1K | |
| 90677 | 122 | 121 | $1K | |
| 99401 | 29 | 27 | $1K | |
| D1203 | 53 | 53 | $987.00 | |
| 80061 | 77 | 77 | $910.52 | |
| 87804 | 62 | 62 | $910.25 | |
| D1110 | 13 | 13 | $676.00 | |
| 82728 | 49 | 49 | $667.87 | |
| 92250 | 13 | 13 | $438.02 | |
| D0274 | 13 | 12 | $432.00 | |
| 85025 | 51 | 50 | $396.27 | |
| D0220 | 24 | 24 | $360.00 | |
| 83036 | 37 | 37 | $339.85 | |
| 80048 | 40 | 39 | $338.40 | |
| 90670 | 238 | 237 | $309.59 | |
| 90715 | 25 | 25 | $306.40 | |
| 96127 | 55 | 45 | $238.48 | |
| 80053 | 25 | 24 | $232.32 | |
| 92552 | 33 | 33 | $173.64 | |
| 92015 | 18 | 18 | $79.76 | |
| 90688 | 29 | 29 | $79.64 | |
| 90697 | 13 | 12 | $62.10 | |
| 99490 | Ccm add 20min | 12 | 12 | $48.80 |
| 99173 | 32 | 32 | $35.12 | |
| 90633 | 70 | 70 | $29.55 | |
| 36415 | 30 | 25 | $18.86 | |
| 90707 | 88 | 88 | $0.00 | |
| 90713 | 154 | 154 | $0.00 | |
| 90700 | 254 | 253 | $0.00 | |
| 90687 | 19 | 19 | $0.00 | |
| 90648 | 136 | 136 | $0.00 | |
| 91300 | 12 | 12 | $0.00 | |
| 90716 | 74 | 74 | $0.00 | |
| 90680 | 12 | 12 | $0.00 | |
| 90686 | 29 | 29 | $0.00 | |
| 90651 | 29 | 28 | $0.00 |